Western Illinois Service Coordination

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WESTERN ILLINOIS SERVICE COORDINATION

Practice address

509 N Lafayette St
Suite 203
Macomb, IL 61455-7331

Phone

(309) 833-1621

Fax

(309) 837-1730

NPI assigned

Apr 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary Jane Friedrich

Title

Ceo President

Phone

(309) 833-1621

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871615237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N LAFAYETTE ST",
            "address_2": "SUITE 203",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614557331",
            "telephone_number": "309-833-1621",
            "fax_number": "309-837-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N LAFAYETTE ST",
            "address_2": "SUITE 203",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614557331",
            "telephone_number": "309-833-1621",
            "fax_number": "309-837-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ILLINOIS SERVICE COORDINATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "309-833-1621",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Village
• Wesley Village, Inc
• Wesley Village, Inc (Wesley Home Health)
• West Central Illinois Spec Ed
• Western Illinois Medical Group, LLC
• Western Illinois Surgical Associates, S.C.
• Western Illinois University
• Western Illinois University Speech Language Hearing Clinic
• Ronald D. Wheeler, M.D.
• Drake B White, MD

• Case Management Agency in Macomb, IL
• Providers in Macomb, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.